Jean Watson Journal Entry Paper

Journal Entry Week One
Jean Watson, a nursing theorist graduated in 1961 from Lewis Gale School of Nursing and continued her love for nursing at the University of Colorado at Boulder. In 1964, she earned her BSN, then her masters in 1966 in psychiatric and mental health nursing; there after a Ph.D. in educational psychology and counseling in 1973 (Watson, 2012). Jean Watson has written and published several books on philosophy of science and caring. She is inspirational and enjoy reading her work, her biography, and her thoughts on caring for others.
Jean Watson ten carative factors that she uses, which are forming humanistic-altruistic systems, instilling faith-hope, cultivating a sensitivity to self and others, and expression of

feelings are just the few that I grasp and use in my nursing career (Cara, 2013). She believes in order for the needs of food, fluid, elimination, and ventilation.
Goals and Objectives
Women’s health and diagnosis have been an increasing awareness in the health diagnosis that women face. These are what I will achieve in this course:
• Provide comprehensive women’s health care through the lifespan
• Synthesize relevant theoretical and empirical knowledge as a framework for advanced women’s health care
• Recognize the risks that female patients is or had experienced.

Abuse such as sexual assault, domestic violence, and substance abuse (alcohol or drug).
• Participate to recommend a need for improvement of females and their health. Suggest to change the health policies.
• Apply an interdisciplinary focus in the delivery of comprehensive women’s health care
• Exercise women-focus in primary care and to individuals with complex health issues in collaboration with an interprofessional team
Time Line
For the first week of the practicum, I will be given the orientation on their EPIC computer charting, to the facility, and the expectations of Walden University and the preceptor to achieve my goals. As a student nurse practitioner, I will use my time management to research and utilization on nursing theory and ethics that of Jean Watson (Watson, 2010). There will be the economics that affect health care, socio cultural aspects of health care and leadership. I will include health assessment, health promotion and disease prevention, and assessment and management of common signs and symptoms of health problems that exist in our women population. Other focuses include pharmacology, mental health, and

nutrition.

References
Cara, C. (2013). A Pragmatic View of Jean Watson’s Caring Theory, www.humancaring.org
Watson, J. (2012). Nursing: The Philosophy and Science of Caring. Boulder: University Press of
Colorado. Retrieved from Walden University Library Database on March 2, 2015
Watson, J. (2010). Jean Watson: Theory of Human Caring. In M.E. Parker (ed), Nursing
Theories and Nursing Practice (pp. 343-354). Philadelphia, P.A.: Davis Retrieved from
Walden University Library Database on March 10, 2015
http://www.nursing-theory.org/nursing-theorists/Jean-Watson

Journal Entry Week Two
Walden University
Primary Care of Women NURS 6551D-1
Linda Homan RN/BSN, PHN
March 10, 2015
Journal Entry Week Two
When individuals talk about women’s health, they do not realize that the provider looks at the entire whole being versus just the female organs. Depending on the provider, an OB/GYN physician will do a quick review of the organ systems, to include their menses, sexual orientation, menopause, and any concerns. Seeing a female nurse practitioner the assessment goes deeper into the immunizations, Pap smear, breast exam, rectal exam, possible STD’s, and so forth (Etingin, 2011). The main goal is prevention and health promotion. When the patient comes into the clinic, there is discussion on how to improve their health and prevent diseases.
Young to Older Women with Implications
Like any type of physical examination, it is recommended yearly after the age of twenty-one unless the patient is sexually active prior to this age.

After the age of sixty-five it is recommended every two-three years. As with any physical it is to screen for diseases; assess risk for future problems; discuss lifestyle habits, and keep vaccinations up to date (Stevens, 2012). Thyroid test be discussed and identified if there is a concern and family history. Bone mineral density test should be done at least once at the beginning of age sixty-five. Clinical breast exam should be done every three years between the ages of twenty-forty; then every year after the age of forty with their first

mammogram.
Colorectal health is important to check every ten years starting at the age of fifty. A colonoscopy is a simple procedure that allows the patient to relax with conscious sedation. A flexible sigmoidoscopy is recommended every five years or a double-contrast barium enema. With a colonoscopy, it is to detect precancerous polyps or early cancers (Stevens, 2012). Fecal occult blood test (guaiac test) is to be done annually stating at the age of fifty to detect early cancers or precancerous cells. Digital rectal exams should start at the age of fifty and ever 5-10 years thereafter. Some physicians will do it earlier for a screening. A fasting blood glucose, eye exams, hearing test, dental exams, blood pressure, cholesterol screening, and skin (dermatology) checks.
Immunizations
There is no age limitations on some of the vaccines that are available. Here is some of the recommendations:
• Herpes Zoster (once over the age of 60) – Shingle prevention
• HPV (Age 11-26, 3 doses) – Protects against the common types of HPV
• Pneumonia (Once over the age of 65) – Protects against pneumonia
• Tetanus, diphtheria, pertussis (Td/dap) (every 10 years) – Protects against tetanus, diphtheria, and pertussis
• Meningococcal (College freshman, military recruits, and at risk individuals) – Protects against some types of meningococcal disease
• Varicella (Vaccine to who did not chickenpox) – Protects against chickenpox
Conclusion
Even though, statistics shows or the recommendations are there; each person is different. There will be those women who are diagnosed breast cancer at the age of thirty, or cervical cancer at the age of thirty-six (Etingin, 2011). I do not look at the ages or numbers I look at the whole well-being of the person I examine. Immunizations are a guide to follow unless the patient is at high risk. With this third rotation, I have absorbed great education and insights into what I will expect to see once I complete my degree.

References
Stevens, J. (2012). Healing Women: A History of Leichhardt Women’s Community Health
Center. Society for Women’s Health Research. Retrieved from Walden University
Library Database on March 9, 2015
Etingin, O. (2011). New Findings in young-to-older women; how they differ. Society for
Women’s Health Research in the United States. Retrieved from Walden University
Library Database on March 9, 2015